GE is obligated to provide Interfacing information and data (such as protocol information) necessary to ensure an open Interface between GE's existing and future devices and third parties' devices in certain product combinations, and new Interfacing information relating to any Interface modification or upgrade of GE's devices.

Interoperability is the sharing of information between medical devices and information systems. It is fundamental to GE’s healthymagination objectives of lowering cost, increasing access and improving quality.

A provider-focused solution to manage risk

For healthcare organizations engaged in risk-based contracts spanning from shared savings to global capitation, Centricity Financial Risk Manager is a proven, highly scalable and provider-focused technology solution that streamlines management of administrative costs, utilization, and care coordination of patient populations. From managing attributed members and their benefits, to processing and adjudicating claims for capitated payments, Centricity Financial Risk Manager automates the decision making and financial management of value-based care.

As a result of the Affordable Care Act and the Triple Aim, healthcare reform is forcing providers to adapt to new care delivery models focused on value-based care rather than volume of services. Thus, the risk is shifting from payers to provider organizations. To successfully manage risk or provider-sponsored health plans, healthcare organizations must provide high quality care delivery to their patient populations at a low cost while ensuring that strong financial processes are in place to manage the unique workflows and business term requirements that accompany value-based reimbursement.

Proven track record
Many prominent healthcare systems in the U.S. use Centricity Financial Risk Manager to help them efficiently manage financial risk and control costs associated with managing patient populations across a health system.

Highly scalable
Centricity Financial Risk Manager enables healthcare provider organizations to scale from a few thousand covered lives to over a million covered lives while supporting multiple health plans on a single platform.
Focused on providers
Unlike traditional revenue cycle products, Centricity Financial Risk Manager was built to meet the needs of healthcare providers taking on risk. Organizations can manage all risk-based contracts under one solution, helping to enable standardized business processes and workflows across the enterprise.

Support for Value-Based Reimbursement

Automate administrative tasks
On average, healthcare organizations spend $45 per member per month on administrative functions associated with managing risk-based contracts. Centricity Financial Risk Manager automates these processes to help you reduce costs.2

Features

Centricity Financial Risk Manager offers the following features:
Enrollment
At the core of Centricity Financial Risk Manager, Enrollment collects demographic, insurance and enrollment data including employer, physician and benefit information. It enhances the enrollment workflow and supports a wide spectrum of user-defined benefit plans that can be linked to multiple employer groups.

Claims
Claims automatically adjudicates insurance claims entered manually or through Electronic Data Interchange (EDI). It enables you to manage a variety of reimbursement arrangements including withholds, discounts, per diems, RVUs, DRGs, and APCs, and facilitates streamlined processing of individual or groups of claims.

Capitation and risk management
Capitation and Risk Management helps you manage and administer reimbursement arrangements with primary care and specialty care providers. It enables you to track and monitor reimbursement to capitated providers and medical groups, as well as flexibly administer withhold and stoploss arrangements.

Premium billing
Tightly integrated with Enrollment, Premium Billing enables you to calculate and produce premium bills for employer groups and self-pay members, manage receivables, and administer broker commissions. You can flexibly negotiate rates with employers differentiated by member type, employer group, benefit plan and other variables.
Case management
Integrated Case Management supports your quality of care initiatives and helps you manage the cost of complex and high-risk episodes of patient care. It enables case managers to identify cases, track care plans, simulate costs of care under different scenarios, generate form letters and link multiple service records related to a single case.

"GE does well with the fundamental pieces of the system. Those pieces work extraordinarily well, and the system is very stable. We have thrown a ton at it. We have integrated it with many different EMRs and with scheduling and have created charge interfaces left and right, and still the speed of the system is incredible. We have a huge database, and we can find accounts in a millisecond. Fundamental things my colleagues are struggling with are taken care of for us." – Director1

UPCOMING EVENTS

Services

Centricity™ Services

Amid industry upheaval, healthcare organizations are under greater pressure than ever to be productive. Only by getting the most out of every tool can you deliver the care patients need with the efficiency the market demands.

Designed to connect productivity with care by increasing usability, enhancing performance, and optimizing a solutions' return on investment.

Resources

Industry Knowledge Center

Healthcare is a fast-changing domain. GE Healthcare can help you stay on top of the trends that
will shape the industry for years to come. Visit our Industry Knowledge Center
to learn about these trends.

Customer Reference Program

GE Healthcare IT Reference Program

Collaborate with us to promote thought leadership and help similar organizations make informed business decisions. We are dedicated to supporting our customers in their goal to improve patient care and advance the healthcare industry. By participating in the GE Healthcare IT Reference Program, you will have the opportunity to showcase your innovative use of technology to a larger audience of peers, practitioners, patients and the greater healthcare industry.